How to Setup Biotrans ?

Connect the Biotrans baseplate to a monitoring cable

Plug into correct monitor / module.
Turn monitor On
Touch check transducer
Closed the sensor with the Blue cover cap
Nurse do priming : Open sterile pressure monitoring kit and then start priming.
Connect dome to transducer, and make sure that position Biotrans is level
with the patient mid-heart.
Connect manometer line to patient.
Monitor directly show the waveform from blood pressure.
Zero to patient : close flow from patient to transducer, take out the white cap.
Zero to monitor
Open flow from patient, change with the yellow cap.
Pump 300 mmHg to pressure bag (standart)

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 Warning !!!
Don’t use pressure bag when you are in
priming position.
Please do not put the white cap after
zeroing.

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 Zeroing
Close flow from patient to transducer
Take out the white cap from zero port
Zero to monitor
Open flow from patient to transducer.
Change with the yellow cap

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Central Venous Catheter

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Indication for Placement
Pre-existing Cardiovascular Disease
Surgical Procedure
Rapid Infusion of Fluids
Venous Blood Sampling

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 Target Market
Anesthesiology
Surgery
Critical Care Units
Burn Units
Emergency Rooms

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 Placement Sites

Internal Jugular
External Jugular
Subclavian Vein
Brachial Vein

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 Insertion Sites

Site Advantages Disadvantages

Internal Jugular Large vessel Uncomfortable for patient
Easy to locate Hard to maintain dressing
Easy access Close proximity to carotid artery
Short, straight path to vena cava Highest infection rate of insertion sites
(right side) Problematic in patients with
Low rate of complications tracheotomies
External Jugular Easy to locate Difficult to cannulate
Higher complication rate than other
sites
Hard to maintain dressing
Uncomfortable for patient
Problematic in patients with
tracheotomies

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 Insertion Sites

Site Advantages Disadvantages

Subclavian Large vessel with high flow rate Lies close to the lung apex
Lower infection rate Close proximity to subclavian artery
Easy to dress and maintain Difficult to control bleeding
Less restricting for patient (Non compressable vessel)

Femoral Large vessel Decreased patient mobility

Easy access Increased rate of thrombosis and
Advantageous during resuscitation infection
Risk of femoral artery puncture
Dressings may be problematic
Brachial Advantageous during resuscitation Longer time for drugs to access central
Easy access circulation
Catheter tip movement related to arm
movement

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 Basic Set of CVC kit
Central Venous Cath
Dilator 7Fr, 8Fr, 8,5Fr 1.
.035” guidewire J” tip
5cc Syringe 2.
Scalpel # 11 – short 3.
Suture Wing with clamp
Needle 18ga x 2 3/4
Optional Items :
Needle sponge & veni
quard
Y-Valve needle
Three way stopcock

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Insertion Procedure with Seldinger
or Modified Seldinger Technique
Locate the appropriate vein
Insert the guide wire needle
Verify the venous site by
pulsatile flow
Insert the guide wire through
the needle till agequate
depth
Remove the needle leaving
the guidewire in place.
Note : Do not attempt to pull
back the guidewire as this
may cut the guidewire (Use
the dilator and scalpel to be
enlarge the puncture site)
Maintain a firm grip on the
guidewire at all times

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 Insertion Procedure
Prepare the catheter for insertion by flushing each lumen and
clamping
Leave the distal pigtail uncapped for the guidewire threading
Thread the CV Cath over the guidewire to proper depth using a
twisting motion
Hold cath at the desired depth and remove the guidewire
completely
Note : Do not use excessive force to remove the guidewire as it
is possible to be lodged or bent around the catheter
Secure the catheter to the patient via the slide clamp and suture
wings to prevent cath migration

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 Features

Superior geometric soft tip design couple with unique soft blended
bio-compatible material make insertion safe and easy.

Special formulated bio-compatible polyurethane material, provide

strengh during insertion, yet soften in body.

Sufficiently radiopaque material with clear, definite marking, ensure

correct placement of the catheter tip.

Special design guidewires that has a soft flexible tip and prevent
vesset perforation (vascular trauma), yet has excellent stiffness that
provide torque to ensure firm insertion.

Rigid or non-soft tip are available in Single Lumen

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 Port Usage
Proximal : Blood Sampling
Medications
Blood Administration
Medial : Total Parenteral Nutrition
Medications (only if TPN use is not
anticipated)
Distal : CVP Monitoring
Blood Administration
High volume or Viscous Fluids
Colloids
Medication
4th Lument : Infusion
Medications

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 Model Description
Available in Single lumen, 2 lumen and
3 lumen
4 lumen only available for 8.5Fr
Sizes – 4Fr, 5.5Fr, 7Fr, and 8,5Fr
Tubing Diameter for 7Fr : 7 x 0.33 or 7/3
: 2.31 mm

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 Model Description
Example :

CV – 703-20
7 French 3 Lumen 20 cm (length)

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 Difference Between
CV-703-xx & CV-713-xx
703 – Lumen Size is 16G/18G/18G
Distal : 16G (1.041 mm)
Middle : 18G
Proximal : 18G
*713 – Lumen Size is 14G/18G/18G
Distal : 14G (1.20 mm)
Middle : 18G
Proximal : 18G

•713 has bigger Distal Lumen

•Advantage – Easier and rapid blood administrantion & medication

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